-- KC AUSTIN -- MOT, OTR/L
Individual Provider (NPI-1)
Active
Occupational Therapist
Provider Information
- NPI Number
1497903934- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MOT, OTR/L
- Status
- Active
Contact & Location
- Address
- 527 MEMORIAL DR, POCATELLO, ID, 832014063
- Phone
- (208) 478-3343
- Fax
- (208) 478-3329
Specialties & Taxonomies
Occupational Therapist
Primary License: ID #OT-878
Occupational Therapist, Neurorehabilitation
License: ID #OT-878